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WEST SIDE MEDICAL CENTER LLC NPI 1760537013


NPI Information

NPI: 1760537013
Provider Name: WEST SIDE MEDICAL CENTER, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
606 W MAIN ST
NORWICH, CT
ZIP 06360
Phone: (860) 889-1400
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WEST SIDE MEDICAL CENTER, LLC is a family medicine in Norwich, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WEST SIDE MEDICAL CENTER, LLC NPI is 1760537013. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

606 W MAIN ST
NORWICH, CT
ZIP 06360-007
Phone: (860) 889-1400
Fax: (860) 889-3163

The provider's authorized official is William H Hernandez .
The authorized official title is Owner and has the following contact phone number (860) 889-1400.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 12/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily005383CONNECTICUTNo
2207Q00000XFamily Medicine207Q00000XCONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14504270001MEDICARE NSCCONNECTICUT
2D100000047MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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